| NPI | 1700331543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM AIWUYO Administrator 773-817-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |